Clinical Massage Therapy A Structural Approach to Pain Management

308 Pages·2011·30.52 MB·English

by  James Waslaski

Clinical Massage Therapy
A Structural Approach to Pain
Management
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Clinical Massage
Therapy
A Structural Approach
to Pain Management
JAMES WASLASKI, AA, LMT, CPT
Boston Columbus Indianapolis New York San Francisco Upper Saddle River
Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto
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Notice: The authors and the publisher of this volume have taken care that the information and technical recommendations con-
tained herein are based on research and expert consultation, and are accurate and compatible with the standards generally accepted
at the time of publication. Nevertheless, as new information becomes available, changes in clinical and technical practices become
necessary. The reader is advised to carefully consult manufacturers’ instructions and information material for all supplies and equip-
ment before use, and to consult with a health care professional as necessary. This advice is especially important when using new sup-
plies or equipment for clinical purposes. The authors and publisher disclaim all responsibility for any liability, loss, injury, or damage
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Library of Congress Cataloging-in-Publication Data
Waslaski, James.
Clinical massage therapy : a structural approach to pain management / James Waslaski.
p.; cm.
ISBN-13: 978-0-13-706362-8
ISBN-10: 0-13-706362-8
1. Massage therapy. 2. Sports injuries—Treatment. 3. Pain--Treatment.
I. Title.
[DNLM: 1. Massage—methods. 2. Athletic injuries—therapy. 3. Musculoskeletal Diseases—therapy. 4.Pain—therapy. WB 537]
RM721.W297 2012
615.8’22—dc23 2011019557
10 9 8 7 6 5 4 3 2
ISBN-13: 978-0-13-706362-8
www.pearsonhighered.com ISBN-10: 0-13-706362-8
Dedication
I would like to dedicate this book to my mother, June Waslaski. On
November 20, 2010, she lost her battle to cancer. About two months before
her death, she was able to attend the AMTA National Massage Convention
to meet the many loving people in this great profession. All I have become,
and all that I will continue to achieve in this life, is due to the unselfish
and unconditional love of my beautiful mother, June. Throughout her life
she taught me the importance of honesty, integrity, unconditional love, and
putting God and people first. Her last words to me when we said goodbye
were “I will be with you in the sky, as you continue your travels to fulfill
God’s plan by helping others facilitate healing throughout the world.” I love
you, Mom. Your beautiful spirit will live on through this incredible work.
Thanks for shaping my destiny.
June Waslaski
June 13, 1935–November 20, 2010
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Brief Contents
Foreword ix
Preface xi
Acknowledgments xv
About the Author xvii
About the Illustrators xix
Reviewers xxi
Chapter 1 The Twelve-Step Approach: Assessment, Treatment, and Client Self-Care 2
Chapter 2 Pelvic Stabilization—The Key to Structural Integration 38
Chapter 3 Knee and Thigh Conditions 84
Chapter 4 Lower Leg, Ankle, and Foot Conditions 116
Chapter 5 Shoulder Conditions 146
Chapter 6 Cervical Spine Conditions 202
Chapter 7 Elbow, Forearm, Wrist, and Hand Conditions 234
Appendix A End-of-Chapter Questions—Answer Key 263
Appendix B Notes 265
Appendix C Suggested Readings 269
Glossary 271
Index 275
vii
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Foreword
It was at the 1998 Boston New England Conference where I first had the pleasure of meeting
James Waslaski. We literally “bumped” into one another as I wandered around the hotel lobby
searching for a familiar face. Although I’d been involved in bodywork (Rolfing) for many years,
I’d not attended a massage conference and James, sensing my insecurity, immediately put me at
ease with his kind, playful, and teasing spirit. Although much water has passed under the bridge
since those early convention days, many special remembrances live on. By far, my fondest mem-
ories were of our weeklong co-teaching events in Costa Rica (Pain Management in Paradise) and
James’s very popular “Seminars at Sea” cruises.
There’s nothing quite like the physical, emotional, and intellectual bonds that form when
you have the opportunity to eat, live, and learn together for a week. From the first day of our
initial co-teaching gig, we knew—and the class knew—this would not be your typical workshop.
A stimulating, fun-filled, and unpredictable magic filled the air. As I observed James during
his presentations, it was like watching an accomplished athlete perform his sport. With almost
effortless motion, the athlete, like the master practitioner, is so good at what he does, has prac-
ticed it so many times, that it seems almost effortless. But we all know better.
Passion for the work drives some, like James Waslaski, to generously share their lifelong
collection of touch therapy experiences and I’m delighted he has accomplished this in his metic-
ulously written and handsomely illustrated textbook Clinical Massage Therapy: A Structural
Approach to Pain Management. Although Clinical Massage Therapy requires extensive study in
therapeutic assessment, manipulation, and restoration of movement, the book’s goal is to teach
practicing somatic therapists a straightforward, pain-free treatment protocol for reducing pain
and correcting dysfunction. Thousands of manual therapists have learned this popular multidis-
ciplinary method over the years and the results speak for themselves. It has been said that pain
management may be recession-proof. If so, this text is a “must have” for every practitioner’s
collection.
As you delve into Clinical Massage Therapy, James will lead you on a step-by-step journey
that ends by establishing structural and functional balance for a wide variety of musculoskeletal
disorders, chronic pain conditions, and sports injuries. You will learn practical ways to filter
the results of a client’s history, palpatory findings, and functional tests through a philosophic
lens based on basic science and clinical reasoning. Throughout the book, James emphasizes
how impaired or altered functioning of the neuromuscular system leads to stress and pain that
impedes optimal athletic performance and enjoyment of daily activities.
Many of us know James as a very generous, hardworking, and giving educator who’s dedi-
cated his life to helping therapists elevate their somatic skills while encouraging them to have
fun, be vulnerable, and to appreciate the knowledge this great profession has to offer. This is
accomplished through attitude—the way we treat people who come to us for pain management.
Therapeutic touch establishes and maintains the confidence, trust, and healing relationship
required to make technique effective. Clinical Massage Therapy is human contact at its best and
James delivers human contact and all it offers for a better healing relationship and a better world.
Erik Dalton, PhD
Author of Advanced Myoskeletal Techniques
and Dynamic Body and Founder of the Freedom From Pain Institute
ix